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Precious Support Services Good

Inspection Summary


Overall summary & rating

Good

Updated 21 September 2019

About the service

Precious Support Services is registered to provide personal care to people living in their own homes, including older people who have a physical disability or people living with dementia.

At the time of our visit the agency supported 46 people. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do provider personal care, staff also consider any wider social care provided. The agency supported 39 people who received personal care. Some people who received personal care required support 24 hours a day as a ‘live in’ service, while other people received support at pre-arranged times. Care calls were a minimum 30 minutes.

People’s experience of using this service and what we found

People and relatives were very complimentary about the support they received. A typical comment was, “We can’t fault them.”

People felt safe with care staff who supported them in their own homes. Relatives said staff were respectful of people’s environment, personal belongings and how they wanted their care provided. Staff knew how to protect people’s safety and welfare. Care staff were trained in safeguarding adults and staff understood how to protect people from abuse and poor practice.

The providers recruitment processes continued to recruit staff with the right attitudes and values. There were enough staff to ensure people’s care calls were completed on time and for the right amount of time, by a consistent staff team who knew people’s needs and routines.

Safe procedures to manage people's medicines and to prevent the risk of infection were understood and followed by staff. Regular checks ensured potential risks or errors were kept to a minimum.

People and their relatives made decisions about their care and were supported by staff who understood and followed the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People described staff as thoughtful, kind, caring and respectful. People felt comfortable when they received support because staff respected their individual rights to privacy, dignity as well as promoting their independence.

Care plans were personalised to support the person centred care the registered manager described was fundamental to their service. Some care plans we reviewed needed updating to ensure staff continued to provide the care people needed.

People were in control of how their care was delivered and ongoing reviews ensured it remained what people needed. Staff got to know people well, especially their individual routines and preferences.

The provider’s governance systems were operated and managed effectively to ensure good care outcomes for people that continued to meet their needs. Daily records and medicines records completed in people’s homes were regularly checked so any issues could be addressed without delay.

There was an experienced registered manager who was also the owner/provider. The registered manager and office staff team provided strong support to people they cared for and to their staff team. The registered manager was committed to providing a good quality service to people. It was evident they followed their own philosophy which was to ‘stay small because we know everyone’. People, relatives and staff found the management team open, approachable and responsive and they trusted the provider.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Good (published 1 February 2017).

Why we inspected

This was a planned and announced inspection based on the rating at the last inspection. The previous ‘good’ ser

Inspection areas

Safe

Good

Updated 21 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 September 2019

The service was well led.

Details are in our well led findings below.